Izevbizua, Osarose

Izevbizua, Osarose is an individual health care provider with primary practice located at 500 Peconic St Apt 96A , Ronkonkoma NY 11779-7124. She recently has 4 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Pediatric, Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Community Health Worker, Other Service Providers / Health Educator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Izevbizua, Osarose can be contacted via phone (631) 747-2240.

Contact Information

Primary practice address
500 Peconic St Apt 96A Ronkonkoma NY 11779-7124
Phone: (631) 747-2240
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Pediatric 133VN1004X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Community Health Worker 172V00000X
Other Service Providers / Health Educator 174H00000X

Profile Details

NPI number 1548686132
LBN Legal business name Izevbizua, Osarose
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2014
Last updated Mar 6th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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